Insurers do not adjudicate claims. They investigate claims and work with insureds and claimants to settle claims. Settlement generally involves accord and satisfaction. Without that there is no settlement. Without settlement there is no resolution.
It is interesting that this case is about “Conflict of Interest” and the people weighing in are on either side of the fence or they would not have searched out this board. I am biased and I know it. very few posts on this board stick to facts, most are biased propaganda. Look at Bob’s post, it sure looks like facts. Those facts are at issue with this case and it appears Metlife was “arbitrary and capricious”. Seems Metlife “found” a way to deny the claim by pouring over medical reords to cherry pick what they could use to deny the claim. Before angst is thrown back at me, read all the briefs and court documents as I have and it appears Bob did. The Supreme Court tacked on more than Metlife wanted because they seem to have been waiting for a case like this to filter up.
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Insurers do not adjudicate claims. They investigate claims and work with insureds and claimants to settle claims. Settlement generally involves accord and satisfaction. Without that there is no settlement. Without settlement there is no resolution.
It is interesting that this case is about “Conflict of Interest” and the people weighing in are on either side of the fence or they would not have searched out this board. I am biased and I know it. very few posts on this board stick to facts, most are biased propaganda. Look at Bob’s post, it sure looks like facts. Those facts are at issue with this case and it appears Metlife was “arbitrary and capricious”. Seems Metlife “found” a way to deny the claim by pouring over medical reords to cherry pick what they could use to deny the claim. Before angst is thrown back at me, read all the briefs and court documents as I have and it appears Bob did. The Supreme Court tacked on more than Metlife wanted because they seem to have been waiting for a case like this to filter up.